Uribe G, Sigler L, Arguello L, Sánchez A, Quiróz M

Language: Spanish
References: 9
Page: 44-46
PDF size: 619.41 Kb.

ABSTRACT

Penetrating aortic ulcers are rare in the abdominal segment. They are more frequent in the thoracic aorta and have special interest since endovascular treatments are used.
Objective: To present a patient with fatal rupture of the abdominal aorta due to a perforating ulcer.
Case report: A 68 year-old man with history of high blood pressure and smoking, during a sexual activity presented severe progressive abdominal pain, paleness, loss of conscience and expired before reaching to the hospital. Autopsy disclosed a four liter hemoperitoneum and a 3 mm perforation in the aorta at 5 cm from the bifurcation; there were hard atherosclerotic plaques. There was no aneurysm found.
Conclusion: During study of a patient with abdominal pain computerized tomography or magnetic resonance are useful to diagnose retroperitoneal hematoma or free blood. Penetrating aortic ulcers are very rare at the abdominal level and must be suspected in elderly patients with history of hypertension, high cholesterol, diabetes and smoking.

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